{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T20:23:27Z","timestamp":1760300607075},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Various studies have discussed the benefits of applying three-dimensional (3D) techniques, specifically its advantages with respect to ergonomics, feasibility, and the rate of learning achievable in microsurgery training. However, no study has been conducted that compares the operator experience of using two-dimensional (2D) and 3D systems in microsurgical training. The aim of this study is to compare 2D- and 3D-assisted microsurgical training in novices based on anastomosis of chicken femoral arteries.<\/jats:p><jats:p>\n          Methods\u2003The participants were grouped by previous microsurgical experience. Group A includes novice participants. Group B includes 2D-experienced participants. Group C includes both participants in groups A and B. A questionnaire composed of 10 parameters in the field of image quality, dexterity, ergonomic, and feasibility will be filled out after each participant finished their anastomoses by the 2D and 3D systems.<\/jats:p><jats:p>\n          Results\u2003The results demonstrated 3D system was scored better on \u201cfield of view\u201d (p\u2009=\u20090.004), \u201cless tremor\u201d (p\u2009=\u20090.005), \u201cneck\/upper back comfort\u201d (p\u2009=\u20090.043), \u201clower back comfort\u201d (p\u2009=\u20090.015), \u201ctechnical feasibility\u201d (p\u2009=\u20090.020), and \u201ceducational feasibility\u201d (p\u2009=\u20090.004) in group A (N\u2009=\u200912). In group B (N\u2009=\u20099), 3D system was scored better on \u201cfield of view\u201d (p\u2009=\u20090.041) but worse on \u201cimage resolution\u201d (p\u2009=\u20090.031).<\/jats:p><jats:p>\n          Conclusion\u2003With the 3D visualization system for microsurgical anastomosis of chicken femoral model, there are significant improvements in the field of view, stability, ergonomics, and educational value compared with 2D system among all participants. Accordingly, 3D-assisted microsurgery training can be a novel and potential popular training method.<\/jats:p>","DOI":"10.1055\/s-0041-1735291","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T22:30:25Z","timestamp":1630189825000},"page":"313-320","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of the Use of Two-Dimensional and Three-Dimensional Visualization Systems by Novice and Experienced Microsurgeons in Microsurgical Vessel Anastomosis: An Analysis Using the Chicken Model"],"prefix":"10.1055","volume":"38","author":[{"given":"Wen-Chien","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiang-Wei","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Medical Education, National Cheng Kung University Hospital, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Ciudad","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan"},{"name":"School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan"},{"name":"Department of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bor-Shyh","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Imaging and Biomedical Photonics, National Yang Ming Chiao Tung University, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hung-Chi","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan"},{"name":"School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang-Cheng","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan"},{"name":"School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan"},{"name":"Institute of Imaging and Biomedical Photonics, National Yang Ming Chiao Tung University, Tainan, Taiwan"},{"name":"Institute of Cosmeceutics, China Medical University, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,28]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1002\/micr.20393","article-title":"Validation of microsurgical models in microsurgery training and competence: a review","volume":"27","author":"W Y 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